Individual
MICHAEL FREITAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5127 RUSSELL CT W, GREENDALE, WI 53129-2839
(262) 470-0949
Mailing address
5127 RUSSELL CT W, GREENDALE, WI 53129-2839
(262) 470-0949
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
60-39
WI
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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